Protective Variable Ventilation for Open Abdominal Surgery

NCT ID: NCT01683578

Last Updated: 2016-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2013-09-30

Brief Summary

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Variable ventilation has been shown to improve lung function and reduce lung damage as well as inflammation in different models of the acute respiratory distress syndrome. Also, variable ventilation is able to recruit lungs. The present study will investigate whether variable as compared to non-variable ventilation improves post-operative lung function and reduces systemic inflammation in patients submitted to open abdominal surgery.

Detailed Description

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Conditions

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Development of Pulmonary Dysfunction Following Open Abdominal Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Variable Ventilation

Variable tidal volumes with mean at 8 mL/kg of predicted body weight

Group Type ACTIVE_COMPARATOR

Variable Ventilation

Intervention Type OTHER

Non-variable Ventilation

Conventional mechanical ventilation with tidal volume 8 mL/kg of predicted body weight

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Variable Ventilation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* elective open abdominal surgery
* ASA classification 2-3
* age between 18 und 85 yrs
* expected duration of surgery \> 3 h
* expected extubation in the operation room
* written informed consent

Exclusion Criteria

* chronic lung disease (except to COPD stadium I and II, and asthma)
* Body Mass Index (BMI) \> 40
* allergy to one of the drugs to be used for general anesthesia
* participation in another interventional trial within 4 weeks before enrollment
* addiction or any other disease that may interfere with the capacity of giving informed consent
* pregnant or breastfeeding women
* women in reproductive age, except to those who fulfill one of the following:

* post-menopause (12 months natural amenorrhoea, or 6 months amenorrhoea and serum FSH \> 40 mlU/ml
* post-operative (6 weeks after two-sided ovariectomy)
* routine and correct use of anticonceptional methods with failure rate \< 1 % per year
* sexually not active
* vasectomy of the partner
* indication of low compliance with the protocol
* contraindication for MRI examination
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Technische Universität Dresden

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marcelo Gama de Abreu, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Klinikum Ludwigshafen

Locations

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Department of Anesthesiology and Intensive Care, University Hospital Carl Gustav Carus

Dresden, Saxony, Germany

Site Status

Countries

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Germany

References

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Spieth PM, Guldner A, Uhlig C, Bluth T, Kiss T, Conrad C, Bischlager K, Braune A, Huhle R, Insorsi A, Tarantino F, Ball L, Schultz MJ, Abolmaali N, Koch T, Pelosi P, Gama de Abreu M; PROtective Ventilation (PROVE) Network. Variable versus conventional lung protective mechanical ventilation during open abdominal surgery (PROVAR): a randomised controlled trial. Br J Anaesth. 2018 Mar;120(3):581-591. doi: 10.1016/j.bja.2017.11.078. Epub 2017 Dec 1.

Reference Type DERIVED
PMID: 29452815 (View on PubMed)

Spieth PM, Guldner A, Uhlig C, Bluth T, Kiss T, Schultz MJ, Pelosi P, Koch T, Gama de Abreu M. Variable versus conventional lung protective mechanical ventilation during open abdominal surgery: study protocol for a randomized controlled trial. Trials. 2014 May 2;15:155. doi: 10.1186/1745-6215-15-155.

Reference Type DERIVED
PMID: 24885921 (View on PubMed)

Related Links

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http://www.peg-dresden.de

Homepage of the Pulmonary Engineering Group Dresden

Other Identifiers

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PulmEngineering-2012-01

Identifier Type: -

Identifier Source: org_study_id

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